RFK Jr. is shaking things up again. This time, the Health Secretary is suggesting that Americans who chain-smoke, binge on soda, or treat donuts like a food group shouldn’t expect society to cover their medical bills.
The Health Secretary dropped this opinion during a CBS interview, saying people who knowingly harm their health shouldn’t get the same free healthcare as someone with a genetic illness. That didn’t land well with everyone.
The MAHA Advocate Is Taking Extreme Actions
RFK Jr. is not just sounding off. He leads the “Make America Healthy Again” movement and has made it clear. He wants the system to reward healthy choices. He thinks free healthcare should be tied to personal responsibility.

Newsly / IG / The 71-year-old top health official wants to make sure that Americans do not put the weight of personal responsibilities on the government.
However, this is not the first time RFK Jr. has gone after junk food. He has been on a mission to stop food stamps from covering soda, which he calls “poison.” He believes taxpayers shouldn’t be forced to foot the bill for junk-fueled health problems.
Donuts Are Still Legal, But Don’t Expect a Safety Net
He doesn’t want to ban donuts or soda. He says people are free to eat what they want. But if you end up sick after years of bad choices, he argues that society shouldn’t have to pay for it.
He puts it simply: If you smoke three packs a day or live on processed sugar, don’t expect the same level of care as someone born with a heart defect. He wants to realign the system so it rewards healthier choices.
Critics Say It Is a Slippery Slope
RFK Jr. is not officially proposing to cut Medicaid or cancel benefits. But critics see his words as a slippery slope. They worry that this kind of talk could lead to people being punished for everyday habits, even if those habits are legal.
Joan Alker, a policy expert, calls his stance “intrusive.” She raises concerns that if the government starts denying care based on food or drink choices, where does it end? Alcohol? Red meat? Late-night snacks?
Some Say He Has Got a Point
Others think RFK Jr. is just saying what needs to be said. Michael Cannon from the Cato Institute backed the idea that Americans need to take more control over their own health. He says incentives matter, and healthcare costs are skyrocketing in part because of preventable diseases.

Lil / Pexels / The Department of Health and Human Services tried to cool things down. They said RFK Jr.’s comments weren’t about shaming people.
It is about giving them better tools and making healthier options easier to choose.
However, his comments come with some irony. President Trump, who appointed RFK Jr., is a known Diet Coke fan and reportedly drinks several cans a day. He even reinstalled the famous red button in the Oval Office that summons a fresh can.
Trump is also not shy about fast food. Burgers, fries, and Diet Cokes are reportedly part of his regular rotation. So RFK Jr.’s words could create a weird tension between the President and his health chief.
Healthcare Spending Is the Real Issue
But the bigger picture is what RFK Jr. is aiming at: government spending. Right now, about 120 million Americans get healthcare through public programs like Medicare and Medicaid.
Unhealthy habits are more common among people using those programs. In 2018, 24% of Medicaid users smoked, more than double the rate of people with private insurance.
Obesity is another red flag. Half of Medicaid and Medicare users are classified as obese, compared to only 22% of those with private plans. These numbers matter because obesity drives up costs for the entire system.